Provider Demographics
NPI:1568592707
Name:EYECARE AND EYEWEAR LLC
Entity Type:Organization
Organization Name:EYECARE AND EYEWEAR LLC
Other - Org Name:JAMES D MAYES OD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:A
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:575-393-2020
Mailing Address - Street 1:723 N TURNER ST
Mailing Address - Street 2:
Mailing Address - City:HOBBS
Mailing Address - State:NM
Mailing Address - Zip Code:88240-8234
Mailing Address - Country:US
Mailing Address - Phone:575-393-2020
Mailing Address - Fax:575-397-4319
Practice Address - Street 1:723 N TURNER ST
Practice Address - Street 2:
Practice Address - City:HOBBS
Practice Address - State:NM
Practice Address - Zip Code:88240-8234
Practice Address - Country:US
Practice Address - Phone:575-393-2020
Practice Address - Fax:575-397-4319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM269152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMP5994Medicaid
NM2590758Medicare ID - Type Unspecified
NMT74947Medicare UPIN
NMP5994Medicaid
NM0584210001Medicare NSC